Improving Patient-centered Communication and Antibiotic Use With Information Sheets for Acute Respiratory Tract Infections: A Study Protocol

N/AEnrolling By InvitationNCT07383350

Research Unit for General Practice in Aalborg1,144 enrolled

Overview

The goal of this trial is to investigate if the use of information sheets regarding acute respiratory tract infections will lead to more rational antibiotic prescribing and increase patient-centered communication i Danish general practice. The main questions to be answered: * Will the use of information sheets lower antibiotic prescribing. * Will the use of information sheets increase patient-centered communication. We will compare use of information sheets in the consultation with patients with symptoms of acute respiratory tract infections to usual care (control) to find out if information sheets lower antibiotic prescribing. Participants will be presented to the information sheets during the consultation regarding symptoms of acute respiratory tract infection. Participants will fill in a short questionaire regarding patient-centered communication shortly after the consultation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

BASIC_SCIENCE

Masking

NONE

Enrollment

1,144

Conditions

Acute Bronchitis ACUTE SINUSITIS Sore Throat

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Eligible patients must contact the general practice clinic with symptoms of either acute pharyngotonsillitis, acute rhinosinusitis or acute bronchitis and should be above 18 years of age. Exclusion Criteria: * Prior antibiotic treatment for the current episode of acute respiratory tract infections. * Urgent need of hospitalization. * Patients who do not understand Danish. * Patients not listed within the general practice clinic.

Outcomes

Primary Outcomes

Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections prescribed antibiotics at initial consultation.

Time frame: At Initial consultation (day 0)

Secondary Outcomes

Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections with redeemed antibiotic prescriptions within 14 days after the initial consultation.

Time frame: Additional contact from day 0 until day 14.

Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections with retrieval of prescribed antibiotics from the pharmacy within 14 days after the initial consultation.

Time frame: Retrieval of prescribed antibiotic from day 0 until day 14

Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections reconsultation within 14 days after the initial consultation.

Time frame: Reconsultation from day 0 until day 14.

Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections with "out of hours"-consultations within 14 days after the initial consultation.

Time frame: Out of hours consultation from day 0 until day 14.

Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections with hospital admissions within 14 after the initial consultation.

Time frame: Hospital admissions from day 0 until day 14.

Proportion of patients experiencing high level of Patient-centered communication measured by CollaboRATE.

Time frame: Day 0.